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General NPI Number Information
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NPI Number | 1588327217
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Entity Type | Individual
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Provider Name | YANEISY MARTINEZ SOTO
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Gender | Female
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 14100 PALMETTO FRNTG RD STE 108
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1568
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Country | US
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Telephone | 954-281-5041
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 PALMETTO FRNTG RD STE 204
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1557
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Country | US
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Telephone | 954-281-5041
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11016110
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1195790
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | TELE322154
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61682263
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 115980
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11016110
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License Number State | FL
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